延续护理对门诊血透患者生存质量的影响

Effect of transitional care on quality of life in hemodialysis outpatients

【目的】总结延续护理对门诊血透患者生存质量的影响。【方法】选取我院2014年1月至2015年6月56例门诊透析患者为研究对象,观察组28例,对照组28例。观察组给予延续护理,对照组实施常规护理。试验干预前1周及干预后6个月向患者发放健康及生存质量问卷,并监测两组患者血透并发症的发生,总结干预6个月后两组患者疾病相关知识掌握情况、并发症发生率和生存质量水平的差异。【结果】延续护理干预后患者的血透知识掌握水平相比对照组显著提高(P<0.05);并发症发病率相比对照组显著降低(P<0.05)。延续护理干预6个月后患者生存质量维度分数较对照组显著提高(P<0.05)。【结论】延续护理可提高血透患者的知识掌握水平,提高患者自我管理能力,并可降低并发症的发生,提高了患者的生存质量。

[ Objective ]To summarize the transitional care effects on quality of life in hemodialysis outpatients. [ Methods ] From Janu- ary 2014 and June 2015, 56 cases of hemodialysis outpatients in our hospital were included. 28 cases in observation group were given the transitional care, and 28 cases in the control group with routine nursing. Patients were given the questionnaire of health and quality of life one week before test and 6 m from the beginning. We monitored hemodialysis complications of patients and summarized disease- related knowledge situation of patients, complications and quality of life at 6 m. [Results] The level of knowledge significantly in- creased in the transitional care group compared with the control group （P 〈 0.05）. The incidence of complications significantly reduced in the transitional care group compared with the control group. Survival quality dimension score significantly increased at 6 m in the transitional care group compared with the control group. [Conclusion] Transitional care could improve the level of hemodialysis knowledge, improve self-management ability, reduce the risk of complications and improve the survival quality of hemodialysis outpa- tients.